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Thursday, April 11, 2019

Anesthesia


Dose–response relationship of perineural dexamethasone for interscalene brachial plexus block: a randomised, controlled, triple‐blind trial
SummaryPerineural dexamethasone has a ceiling dose of 4 mg for prolongation of analgesia duration after injection of long‐acting local anaesthetic for peripheral nerve block, but evidence for doses < 4 mg is lacking. This randomised controlled triple‐blind trial tested the hypothesis that increasing doses of perineural dexamethasone between 1 mg and 4 mg would prolong the duration of analgesia in a dose‐dependent manner. Eighty ASA physical status 1–2 patients scheduled for shoulder arthroscopy...
Anaesthesia
Thu Apr 11, 2019 13:43
Assessment of gastric emptying of maltodextrin, coffee with milk and orange juice during labour at term using point of care ultrasound: a non‐inferiority randomised clinical trial
SummaryLabouring women have been shown to have slower gastric emptying than non‐pregnant subjects, and this argument is sometimes used to recommend fasting guidelines such as nil‐by‐mouth during labour. We performed a parallel group, randomised non‐inferiority trial, comparing gastric emptying of 450 ml isocalorically‐adjusted maltodextrin, coffee with milk or pulp‐free orange juice, with 18 women in each group. The women were initially fasted for 2 h for clear fluids, 6 h for a light meal...
Anaesthesia
Thu Apr 11, 2019 13:43
Attitudes of postnatal women and maternity staff towards audio recording of consent discussions
SummaryAudio recording consent discussions, and giving a copy of the recording to the patient to keep, might improve the consent process and reduce the risk of misunderstandings, complaints or medicolegal claims. However, there may be concerns over confidentiality and how being recorded could affect the consent discussion. We ascertained the views of 50 postnatal women and 100 maternity staff (25 anaesthetists, 25 obstetricians and 50 midwives) on making audio recordings of consent discussions....
Anaesthesia
Thu Apr 11, 2019 13:42
Case report: difficulty in diagnosis of delayed spinal epidural hematoma in puerperal women after combined spinal epidural anaesthesia
Spinal epidural hematoma is a rare but serious complication of epidural anaesthesia and neurological impairment. Epidural hematoma usually becomes evident within a few hours of the procedure. Delayed clinical ...
BMC Anesthesiology - Latest Articles
Thu Apr 11, 2019 03:00
Postoperative analgesia for pediatric craniotomy patients: a randomized controlled trial
Pain is often observed in pediatric patients after craniotomy procedures, which could lead to some serious postoperative complications. However, the optimal formula for postoperative analgesia for pediatric ne...
BMC Anesthesiology - Latest Articles
Thu Apr 11, 2019 03:00
Dislocation rates of postoperative airway exchange catheters - a prospective case series of 200 patients
The dislocation rate of oral versus nasal airway exchange catheters (AEC) in the postoperative care unit (PACU) are unknown. Our aim was to establish dislocation rates and to assess the usefulness of waveform ...
BMC Anesthesiology - Latest Articles
Thu Apr 11, 2019 03:00
Population pharmacokinetics of palonosetron and model-based assessment of dosing strategies
Abstract Purpose Palonosetron is the most recent 5-hydroxytryptamine-3 receptor antagonist, and its fixed dose of 0.075 mg is indicated for the prevention of postoperative nausea and vomiting. This study aimed to examine whether fixed dosing is more appropriate than body size-based dosing through the development of a population pharmacokinetic model and model-based simulations. ...
Latest Results for Journal of Anesthesia
Thu Apr 11, 2019 03:00
Characterizing the spectrum of body mass index associated with severe postoperative pulmonary complications in children
Abstract Purpose While high body mass index (BMI) is a recognized risk factor for pulmonary complications in adults, its importance as a risk factor for complications following pediatric surgery is poorly described. We evaluated the association between BMI and severe pediatric perioperative pulmonary complications (PPCs). Methods In this retrospective cohort...
Latest Results for Journal of Anesthesia
Thu Apr 11, 2019 03:00
Correction
Anaesthesia
Wed Apr 10, 2019 14:30

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